Fillers or time for Mono Facelift/necklift? (Photo)

Question

I have had Sculptura to try to address the lower jowling and neck but it seemed to do not a lot at all. My injector says fillers in the lower face aren’t great because they add volume and my face shape isn’t right for them. a mini facelift/necklift, is that the correct procedure to be requesting consults for here? I’m ready to set up consults and get something on the schedule to get rid of my jowls and tighten my neck.

Arif Eroglu, MD · Answer

Hello; From what I can see with your photos; you are between 40-50 years old. Again, as far as I can see; tear through area is sunken, anterior face is down, jowl is prominent, marionette line is prominent and prejowl is sunken. Your chin; looks short, there is looseness in your neck and platysmal bands that have formed; under your chin. Nevertheless, malar area and zygomatic arch; are overfilled with fillers. Filling implementation is definitely not suitable for you. Pronounced Jowl and Marionette Lines have formed. Therefore, Mini Facelift; will not be sufficient. With Mini Facelift; neither jowl nor marionette line, nor tear through area; nor medial cheek area is effected. My advice for you is; Temporal Lift for your midface, dual plane facelift for your cheeks, necklift for neck and under the chin fields. In the meantime, lower and upper blephatoplasty can also be applied.

David Hansen, MD · Answer

You would do great with a lower face/neck lift under local with a little iv sedation. Cost is roughly $15,000 for quality work and so  worth it.

Gary M. Horndeski, MD · Answer

You are a candidate for a facelift. This will tighten the skin envelope and redefine the jawline. You may also benefit from a lip lift because the distance between your nose and upper lip is too great. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

John Michael Thomassen, MD · Answer

A mini facelift that includes SMAS lifting will lift the cheeks, lift the lower face, and tighten the neck.  All things that cannot be accomplished with fillers.  I think you would be very happy with the results.

William Portuese, MD · Answer

From the photographs presented, you have jowls, and skin laxity in both your face and neck. Consider a lower face and neck lift procedure, which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing any residual fat deposits in the neck. Study your prospective surgeon's facelift photo gallery and make sure that it is extensive with natural results that you like.

Darryl J. Blinski, MD · Answer

Yes, based on your posted photos, you are a candidate for a mini face necklace with muscle plantation. Fees range from $5000-$12,000. Best to virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

Facial aesthetics are primarily determined by facial bone structure.
Issues related to the lower 1/3 of the face are usually related to the shape and size of the mandible, especially the mandible’s relationship to the maxilla. 
In your case, your mandible is slightly small in relationship to your maxilla, and this lack of foundation can cause premature aging with loss of jawline definition, the formation of a premature double chin and jowl formation.From a soft tissue perspective, the correct treatment would be a neck lift/face lift. 
Growing a bigger mandible isn’t really an option.
Overall, I think your facial appearance is fairly good.
I’m guessing most plastic surgeons would steer you towards a facelift.
A facelift primarily treats, the lower 1/3 of the face and neck and the difference between a facelift and a neck lift is often semantical only.
To get a quality assessment and better understanding of treatment options I suggest having multiple in person consultations with plastic surgeons in your community.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures for whatever procedure, they recommend paragraph ask providers to show you as many pictures as possible of previous patients who had similar facial characteristics to your own.
Bring pictures of your face to use during the consultation for reference.
Don’t rely on memory or looking in mirrors for reference 
Take care note regarding the quality and quantity of before and after pictures of previous patients who had quality outcomes starting off at the same point.
Look for previous patients had similar facial characteristics with similar age, etc., etc.
In the end, finding the right provider is probably the most important variable and to do this correctly often requires having multiple consultations for comparison.
Recognize that there are substantial differences among different providers, regardless of certification, etc.
Best,
Mats Hagstrom MD

Fillers or time for Mono Facelift/necklift? (Photo)

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